[43M] Experiencing dizziness, tingling, and rash

Patient Description

A 43-year-old male presents with symptoms of lightheadedness, tingling on the back of the neck, and a rash with itching on the back of the calf and knee. The dizziness began suddenly three days ago and persists constantly at a mild level. The patient reports a sensation similar to an allergic reaction, which has occurred before. The patient has a history of asthma and diabetes, both diagnosed eight years ago, and is currently taking Metformin, Albuterol, Hydroxyzine, Montelukast, and Benadryl. The patient admits to recent methamphetamine use, which may correlate with the onset of symptoms. No recent illnesses, infections, or changes in diet or medications have been noted, and there are no known drug allergies.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Allergic Reaction: The itching and rash, along with the sensation of your body feeling like it's on fire, could be indicative of an allergic reaction. This could be related to a substance you've come into contact with, including methamphetamine use, which can sometimes cause skin reactions and other systemic symptoms.

    • Treatment typically involves antihistamines like Benadryl, which you're already taking, and avoiding the triggering substance.
  • Side Effects of Methamphetamine: Methamphetamine use can cause a range of symptoms, including dizziness, tingling, and skin changes. These symptoms can be due to the drug's effects on your nervous system and circulation.

    • The best course of action is to stop using methamphetamine and seek support for substance use if needed.
  • Diabetic Neuropathy: Given your history of diabetes, the tingling sensation could be related to diabetic neuropathy, a condition where high blood sugar levels cause nerve damage.

    • Managing your blood sugar levels effectively and consulting with your healthcare provider for appropriate treatment is important.

What you can do

  1. Avoid Methamphetamine: The most immediate step is to stop using methamphetamine, as it can exacerbate your symptoms and overall health.
  2. Manage Allergies: Continue taking Benadryl as directed to help manage the itching and rash. If symptoms persist, consult a healthcare provider.
  3. Monitor Blood Sugar: Keep a close eye on your blood sugar levels and ensure they are within the target range. This can help prevent complications like neuropathy.
  4. Use MDandMe: Consider using the MDandMe app to journal your symptoms, track your progress, and share this information with your healthcare provider for better management of your conditions.

What you should look out for

  • Seek Immediate Medical Attention: If you experience difficulty breathing, swelling of the face or throat, or severe dizziness, seek emergency medical care as these could be signs of a severe allergic reaction.
  • Consult a Healthcare Provider: If your symptoms do not improve or worsen, it's important to consult with a healthcare provider for a thorough evaluation and appropriate treatment.
  • Support for Substance Use: If you find it challenging to stop using methamphetamine, consider reaching out for support from a healthcare provider or a support group specializing in substance use.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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1 mo ago

People Also Ask


Can methamphetamine use cause skin reactions or rashes?

Yes, methamphetamine use can cause skin reactions or rashes due to its effects on the nervous system and circulation. It can also lead to other systemic symptoms.


What are the symptoms of diabetic neuropathy?

Diabetic neuropathy can cause symptoms such as tingling, numbness, burning, or pain, typically in the hands and feet. It results from nerve damage due to high blood sugar levels.


How can I manage an allergic reaction at home?

To manage an allergic reaction at home, you can take antihistamines like Benadryl to reduce itching and rash. It's also important to avoid the triggering substance and consult a healthcare provider if symptoms persist.


What are the potential side effects of using Benadryl?

Benadryl can cause side effects such as drowsiness, dizziness, dry mouth, and sometimes blurred vision. It's important to follow the dosage instructions and consult a healthcare provider if you experience severe side effects.


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